Nokea
A nurse is teaching a client about the use of estradiol (Estrace). The nurse wams the client of which of the following dermatologic reactions that may continue after drug discontinuation? Select all that apply.
- A. Dermatitis
- B. Stevens-Johnson syndrome
- C. Pruritus
- D. Chloasma
- E. Melasma
Correct Answer: D,E
Rationale: Chloasma and melasma are dermatologic reactions that can result from the use of estrogens, like estradiol (Estrace), and may continue when use of the drug is discontinued.
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A group of nursing students are reviewing information about male and female hormones. The students demonstrate understanding of the information when they identify which of the following as an anabolic steroid? Select all that apply.
- A. Nandrologe
- B. Oxyrietholone
- C. Oxandrolone
- D. Testosterone
- E. Fluoxymesterone
Correct Answer: A,B,C
Rationale: Anabolic steroids include nandrolone, oxymetholone, and oxandrolone. Testosterone and fluoxymesterone are testosterones. Note: 'Nandrologe' and 'Oxyrietholone' appear to be misspellings in the original document; the correct terms are 'nandrolone' and 'oxymetholone.'
A client with estrogen excess may report which of the following symptoms to the nurse during ongoing assessment during treatment with Ortho-Novum 7/7/7? Select all that apply.
- A. Nausea
- B. Early breakthrough bleeding
- C. Cervical mucorrhea
- D. Edema
- E. Increased spotting
Correct Answer: A,C,D
Rationale: Signs of excess estrogen include nausea, bloating, cervical mucorrhea, polyposis, hypertension, migraine headache, breast fullness or tenderness, and edema.
A nurse suspects a client might be abusing anabolic steroids. Which of the following signs might a client exhibit that would indicate abuse of anabolic steroids? Select all that apply.
- A. Uncontrolled rage
- B. Jaundice
- C. Inability to concentrate
- D. Acne
- E. Severe depression
Correct Answer: A,B,C,D,E
Rationale: A client abusing anabolic steroids might exhibit the following signs: uncontrolled rage, severe depression, suicidal tendencies, malignant or benign liver tumors, aggressive behavior, inability to concentrate, personality changes, acne, jaundice, anorexia, male-pattern baldness, fluid and electrolyte imbalances, and muscle cramps.
A client with progestin excess may report which of the following symptoms to the nurse during ongoing assessment during treatment with Estrostep Fe? Select all that apply.
- A. Amenorrhea
- B. Late breakthrough bleeding
- C. Hair loss
- D. Weight gain
- E. Hirsutism
Correct Answer: C,D,E
Rationale: Signs of excess progestin include increased appetite, weight gain, tiredness, fatigue, hypomenorrhea, acne, oily scalp, hair loss, hirsutism, depression, monilial vaginitis, and breast regression.
An 80-year-old client with chronic renal insufficiency is prescribed anabolic steroid therapy for the management of anemia associated with renal insufficiency. The nurse understands that this client is at increased risk for which of the following?
- A. Hypoglycemic attacks
- B. Serious cardiac disease
- C. Hypotensive shock
- D. Cancer of the prostate
Correct Answer: D
Rationale: Elderly clients undergoing anabolic steroid therapy are at an increased risk of developing cancer of the prostate gland. Therefore, anabolic steroid therapy needs to be administered cautiously in these clients. Hypoglycemic attacks, serious cardiac disease, and hypotensive shock are not seen in elderly clients on anabolic steroid therapy.